Organization
HEALTHPRO PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MCCORMACK PT (OWNER)
(573) 663-2500
Entity
Organization
Contact information
Practice address
315 EAST WALNUT, ELLINGTON, MO 63638
(573) 663-2500
Mailing address
PO BOX 580, ELLINGTON, MO 63638-0580
(573) 663-2500
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689814329
—
MO
Enumeration date
02/20/2009
Last updated
10/23/2009
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